Lutrick, Cammeron

Lutrick, Cammeron is an individual health care provider with primary practice located at 1962 Julia St , Rayville LA 71269-5527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lutrick, Cammeron can be contacted via phone (318) 728-8833.

Contact Information

Primary practice address
1962 Julia St Rayville LA 71269-5527
Phone: (318) 728-8833
Fax: (318) 728-6183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP05896 Louisiana

Profile Details

NPI number 1417186529
LBN Legal business name Lutrick, Cammeron
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2009
Last updated Jul 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417186529 NPPES
Louisiana MEDICAID 1889148

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